Differential Diagnosis
DRUGS:
- Illicit drug use
INFECTIONS/INFLAMMATION:
- Subacute bacterial endocarditis
- Lyme disease
- Fungal disease
- Infectious mono
- HIV
- Chronic Hepatitis B or C
- Systemic Lupus Erythematosus
- Myasthenia gravis
- Multiple sclerosis
- Thyroiditis
- Rheumatoid arthritis
METABOLIC/EMTNAL/MEDICAL:
- Anxiety
- Dysthymia
- Depression
- Hypothyroidism
- Hypopituitarism
- Adrenal insufficiency
- Cushing’s syndrome
- Diabetes mellitus
- Hyperparathyroidism
- Pregnancy
- Reactive hypoglycemia
- Malignancy
- Chronic renal failure
- COPD
- Cardiovascular disease
- Anemia
- Electrolyte imbalance
- Liver disease
- Poor sleep
- Fibromyalgia
- Sleep apnea
SOCIAL/STRUCTURAL:
- Cardiac calve disease
- Vascular insufficiencies